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  1. Perioperative/Operative | Digital Healthcare Research

    digital.ahrq.gov/care-setting/perioperativeoperative
    January 01, 2023 - Perioperative/Operative EnhanCed HandOffs (ECHO) Description This research will develop and evaluate a machine learning-augmented and telemedicine-augmented sociotechnical intervention for postoperative handoffs to reduce the risks of patient complications and improve patien…

  2. People, processes, health IT and accurate patient identification. | PSNet

    psnet.ahrq.gov/issue/people-processes-health-it-and-accurate-patient-identification
    April 11, 2018 - Newspaper/Magazine Article People, processes, health IT and accurate patient identification. Citation Text: People, processes, health IT and accurate patient identification. Quick Safety. October 1, 2018;(45):1-2. Copy Citation Save Save to your library Prin…

  3. The high cost of retained surgical items. | PSNet

    psnet.ahrq.gov/issue/high-cost-retained-surgical-items
    February 22, 2023 - Newspaper/Magazine Article The high cost of retained surgical items. Citation Text: The high cost of retained surgical items. Moorehead LD. Outpatient Surgery. April 5, 2023. Copy Citation Save Save to your library Print Download PDF Share …

  4. The MacArthur Fellows Program: Peter Pronovost. | PSNet

    psnet.ahrq.gov/issue/macarthur-fellows-program-peter-pronovost
    June 11, 2013 - Press Release/Announcement The MacArthur Fellows Program: Peter Pronovost. Citation Text: The MacArthur Fellows Program: Peter Pronovost. The John D. and Catherine T. MacArthur Foundation. Copy Citation Save Save to your library Print Download PDF …

  5. AHRQ announces interest in research on diagnostic errors in ambulatory care settings. | PSNet

    psnet.ahrq.gov/issue/ahrq-announces-interest-research-diagnostic-errors-ambulatory-care-settings
    November 10, 2021 - Government Resource AHRQ announces interest in research on diagnostic errors in ambulatory care settings. Citation Text: AHRQ announces interest in research on diagnostic errors in ambulatory care settings. Rockville, MD: Agency for Healthcare Research and Quality. Special Emphasis N…

  6. Wrong drug and wrong dose dispensing errors identified in pharmacist professional liability claims. | PSNet

    psnet.ahrq.gov/issue/wrong-drug-and-wrong-dose-dispensing-errors-identified-pharmacist-professional-liability
    August 31, 2016 - Study Wrong drug and wrong dose dispensing errors identified in pharmacist professional liability claims. Citation Text: Wrong drug and wrong dose dispensing errors identified in pharmacist professional liability claims. Reiner G, Pierce SL, Flynn J. J Am Pharm Assoc (2003). 2020;60(5):e…

  7. Implementing Closing the Loop. Safe Practices for Diagnostic Results | PSNet

    psnet.ahrq.gov/issue/implementing-closing-loop-safe-practices-diagnostic-results
    March 10, 2021 - Book/Report Implementing Closing the Loop. Safe Practices for Diagnostic Results Citation Text: Implementing Closing the Loop. Safe Practices for Diagnostic Results Partnership for HIT Patient Safety. Plymouth Meeting, PA: ECRI Institute; 2020. Copy Citation Save …

  8. Preventing Central Line–Associated Bloodstream Infections: a Global Challenge, a Global Perspective. | PSNet

    psnet.ahrq.gov/issue/preventing-central-line-associated-bloodstream-infections-global-challenge-global-perspective
    May 28, 2014 - Book/Report Preventing Central Line–Associated Bloodstream Infections: a Global Challenge, a Global Perspective. Citation Text: Preventing Central Line–Associated Bloodstream Infections: a Global Challenge, a Global Perspective. The Joint Commission. Oakbrook Terrace, IL: Joint Commiss…

  9. Medication reconciliation physician order form. | PSNet

    psnet.ahrq.gov/issue/medication-reconciliation-physician-order-form
    January 21, 2015 - Commentary Medication reconciliation physician order form. Citation Text: Lacy JL, Wilkinson ST. Medication Reconciliation Physician Order Form. Hosp Pharm. 2010;41(11):1117-1119. doi:10.1310/hpj4111-1117. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNo…

  10. What pilots can teach hospitals about patient safety. | PSNet

    psnet.ahrq.gov/issue/what-pilots-can-teach-hospitals-about-patient-safety
    May 22, 2009 - Newspaper/Magazine Article What pilots can teach hospitals about patient safety. Citation Text: What pilots can teach hospitals about patient safety. Murphy K Copy Citation Save Save to your library Print Download PDF Share Facebook …

  11. ISMP Medication Safety Self Assessment for High-Alert Medications. | PSNet

    psnet.ahrq.gov/issue/ismp-medication-safety-self-assessment-high-alert-medications
    June 07, 2017 - Measurement Tool/Indicator ISMP Medication Safety Self Assessment for High-Alert Medications. Citation Text: ISMP Medication Safety Self Assessment for High-Alert Medications. Horsham, PA: Institute for Safe Medication Practices; 2017. Copy Citation Save Save to y…

  12. FDA Advise-ERR: avoid using the error-prone abbreviation, TPA. | PSNet

    psnet.ahrq.gov/issue/fda-advise-err-avoid-using-error-prone-abbreviation-tpa
    April 29, 2015 - Newspaper/Magazine Article FDA Advise-ERR: avoid using the error-prone abbreviation, TPA. Citation Text: FDA Advise-ERR: avoid using the error-prone abbreviation, TPA. ISMP Medication Safety Alert! Acute Care Edition. September 24, 2015;20:1,4-5. Copy Citation Save …

  13. Actionable Patient Safety Solutions (APSS): Creating a Foundation for Safe and Reliable Care | PSNet

    psnet.ahrq.gov/issue/actionable-patient-safety-solutions-apss-creating-foundation-safe-and-reliable-care
    June 01, 2023 - Book/Report Actionable Patient Safety Solutions (APSS): Creating a Foundation for Safe and Reliable Care Citation Text: Actionable Patient Safety Solutions (APSS): Creating a Foundation for Safe and Reliable Care Irvine, CA: The Patient Safety Movement; 2020. Copy Citation …

  14. Medication tracers: a systems approach to medication safety. | PSNet

    psnet.ahrq.gov/issue/medication-tracers-systems-approach-medication-safety
    December 21, 2018 - Commentary Medication tracers: a systems approach to medication safety. Citation Text: Hendrick EC, Montanya KR, Griffith NL. Medication Tracers: A Systems Approach to Medication Safety. Hosp Pharm. 2010;42(10):916-920. doi:10.1310/hpj4210-916. Copy Citation Format: DOI Goo…

  15. Geisinger Health System's plan to fix America's health care. | PSNet

    psnet.ahrq.gov/issue/geisinger-health-systems-plan-fix-americas-health-care
    October 18, 2017 - Newspaper/Magazine Article Geisinger Health System's plan to fix America's health care. Citation Text: Geisinger Health System's plan to fix America's health care. Carbonara P. Fast Company. October 2008. Copy Citation Save Save to your library Print …

  16. Overreaction. | PSNet

    psnet.ahrq.gov/issue/overreaction
    November 15, 2023 - Newspaper/Magazine Article Overreaction. Citation Text: Shell ER. Overreaction. Scientific American. 2015;313(5):28-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation Sav…

  17. Implement strategies to prevent persistent medication errors and hazards: 2024. | PSNet

    psnet.ahrq.gov/issue/implement-strategies-prevent-persistent-medication-errors-and-hazards-2024
    April 17, 2024 - Newspaper/Magazine Article Implement strategies to prevent persistent medication errors and hazards: 2024. Citation Text: Implement strategies to prevent persistent medication errors and hazards: 2024. ISMP Medication Safety Alert! Acute Care. 2024;29(6):1-4. Copy Citation …

  18. National Confidential Enquiry into Patient Outcome and Death. | PSNet

    psnet.ahrq.gov/issue/national-confidential-enquiry-patient-outcome-and-death
    November 25, 2009 - Multi-use Website National Confidential Enquiry into Patient Outcome and Death. Citation Text: National Confidential Enquiry into Patient Outcome and Death. National Confidential Enquiry into Patient Outcome and Death; NCEPOD Copy Citation Save Save to your libr…

  19. The evolution of the apology. | PSNet

    psnet.ahrq.gov/issue/evolution-apology
    September 29, 2010 - Commentary The evolution of the apology. Citation Text: Newfield JS. The Evolution of the Apology. Home Health Care Manag Pract. 2007;19(2). doi:10.1177/1084822306294456. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …

  20. The health care industry needs to be more honest about medical errors. | PSNet

    psnet.ahrq.gov/issue/health-care-industry-needs-be-more-honest-about-medical-errors
    February 06, 2019 - Newspaper/Magazine Article The health care industry needs to be more honest about medical errors. Citation Text: The health care industry needs to be more honest about medical errors. Sutcliffe K. Time Magazine. November 5, 2019. Copy Citation Save Save to your…
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